CLINICAL PATHOLOGISTS OF CENTRAL ILLINOIS, S.C. (NPI# 1700812047) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700812047 |
| Entity Type | Organization |
| Organization Name | CLINICAL PATHOLOGISTS OF CENTRAL ILLINOIS, S.C. |
| Practice Address |
701 N 1st St Springfield IL 62781-0001 |
| Mailing Address |
Po Box 5987 Carol Stream IL 60197-5987 |
| Practice Telephone | 2175227004 |
| Mailing Telephone | 2175227004 |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2010-03-22 |
| Authorized Official Name | DOUGLAS SHEVLIN (PRESIDENT) |
| Authorized Official Telephone | 2175227004 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0105X |
Pathology Specialization: Clinical Pathology/Laboratory Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BLUE CROSS BLUE SHIELD | 08423059 | 01 |
| Street Address |
701 N 1ST ST |
| City | SPRINGFIELD |
| State | IL |
| Zip Code | 62781-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982607123 | Memorial Home Services | Home Health | 701 N 1st St, Springfield, IL 62781-4952 | 2005-05-23 |
| 1316552524 | Mary Ann Seagle | Nurse Practitioner | 701 N 1st St, Springfield, IL 62781-0001 | 2020-09-14 |
| 1497372361 | Amir Mcphearson | Internal Medicine | 701 N 1st St, Springfield, IL 62702-3757 | 2020-06-26 |
| 1508482597 | Kirsten Kay Carew | Internal Medicine | 701 N 1st St, Springfield, IL 62702-3757 | 2020-06-25 |
| 1699391482 | Aruya Davis | Registered Nurse | 701 N 1st St, Springfield, IL 62781-0001 | 2020-06-17 |
| 1497370852 | Alyssa Rose Jimerson | Nurse Anesthetist, Certified Registered | 701 N 1st St, Springfield, IL 62781-0001 | 2020-06-11 |
| 1649895038 | Elisha Boyd | Nurse Practitioner | 701 N 1st St, Springfield, IL 62702-3757 | 2020-06-10 |
| 1275158990 | Ashley L Mcgrath | Nurse Anesthetist, Certified Registered | 701 N 1st St, Springfield, IL 62781-0001 | 2020-06-09 |
| 1205451812 | Christopher Evan Bejcek | Orthopaedic Surgery | 701 N 1st St, Springfield, IL 62702-3757 | 2020-06-09 |
| 1912521790 | Neil Carter Parker | Internal Medicine | 701 N 1st St, Springfield, IL 62702-3757 | 2020-06-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104145747 | Justin Neil Henry | Hospitalist | 701 N 1st St Rm B146, Springfield, IL 62781 | 2010-05-21 |
| 1457464208 | Edward J Ryan Poje | Pathology | 701 N First St, Memorial Medical Center, Springfield, IL 62781 | 2006-08-16 |
| 1649285453 | Sanjai Nagendra | Pathology | 701 N First Street, Springfield, IL 62781 | 2006-07-30 |
| 1770518706 | Daniel L Stanton Jr. | Radiology | 701 N. First St, Springfield, IL 62781 | 2006-07-11 |
| 1497914741 | Ted Robert Clark | Emergency Medicine | 701 N. 1st Street, Springfield, IL 62781 | 2008-06-03 |
| 1851486393 | Joan Lewis | Nurse Practitioner | 701 N First St, Springfield, IL 62781 | 2006-10-03 |
| 1548363138 | Pathology Associates of Central Illinois Ltd | Pathology | 701 N First St, Memorial Medical Center, Springfield, IL 62781 | 2006-09-07 |
| 1962511931 | Chad Joseph Defrain | Pathology | 701 N First St, Memorial Medical Center, Springfield, IL 62781 | 2006-08-30 |
| 1346359320 | Nassim Banisaeed | Pathology | 701 N First St, Memorial Medical Center, Springfield, IL 62781 | 2006-08-30 |
| 1922111772 | John E Murphy | Pathology | 701 N First Street, Memorial Medical Center, Springfield, IL 62781 | 2006-08-16 |
| Find all providers in zip 62781 | ||||
| Taxonomy Code | 207ZP0105X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Clinical Pathology/Laboratory Medicine |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. American Osteopathic Board of Pathology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pathology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740201003 | Apl Clinical Pathology | Pathology | 800 E Carpenter, Springfield, IL 62769-0001 | 2006-07-22 |
| 1043416464 | Mary Kay Vaske | Pathology | 1235 E Cherokee St, Pathology, Springfield, MO 65804-2203 | 2007-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871095364 | Edward Doyle Slifer Sr. | Pathology | 2117 Greenside Drive, Spring Field, IL 62704 | 2018-03-01 |
| 1437272549 | Robert E. Merrick | Pathology | 1633 W Berwyn Ave, Chicago, IL 60640-2005 | 2007-04-06 |
| 1235163056 | Renuka Bhaskar | Pathology | 105 Krispy Kreme Dr, Ste 4, Bloomington, IL 61704-3751 | 2006-07-10 |
| 1881625341 | Winfield Laboratory Consultants, S.c. | Pathology | 25 Winfield Rd, Winfield, IL 60190 | 2006-07-05 |
| 1790747517 | Anjen Chenn | Pathology | 303 E Chicago Ave, Ward 3-200, Chicago, IL 60611-4296 | 2006-04-05 |
| 1720063217 | Roy M.y. Nomura | Pathology | 1270 Mercantile Dr, Highland, IL 62249-1256 | 2005-12-07 |
| 1801880976 | William K Drake | Pathology | 400 Caldwell, Staunton, IL 62088-1173 | 2005-09-06 |
| 1265433312 | Prairie Pathology and Laboratory Physicians | Pathology | Virginia At Franklin, Bromenn Regional Medical Center, Normal, IL 61761 | 2005-08-10 |
| 1598111403 | Kyle G Parker | Pathology | 5841 S Maryland Ave # Mc3083, Chicago, IL 60637-1447 | 2016-05-10 |
| 1538515473 | Samuel E Weinberg | Pathology | 251 E Huron St, Chicago, IL 60611-3055 | 2016-05-10 |
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| City | SPRINGFIELD |
| Zip Code | 62781 |
Please comment or provide details below to improve the information on CLINICAL PATHOLOGISTS OF CENTRAL ILLINOIS, S.C..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.